Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jackson Hospital and Clinic Inc

Organization Vascular Surgery Physician · NPI 1588011746

Jackson Hospital and Clinic Inc provides Vascular Surgery Physician services in Montgomery, Alabama. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1801 Pine St Ste 101
Montgomery, AL 36106-0165 Not confirmed with CMS for 10 years — call before visiting
Phone: (334) 293-8922
Fax: (334) 293-6820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1588011746
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelin Penney — Administrator · (334) 240-2335
Other names Jackson Vascular Surgery
NPI enumeratedMay 18, 2016
Last updated in NPPESMay 18, 2016
Mailing address1722 Pine St, Suite 503, Montgomery, AL 36106-1103

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